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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2002-12-24
pubmed:abstractText
This study was performed to evaluate whether thallium-201 myocardial scintigraphy (Tl-201) and iodine-123-metaiodobenzylguanidine (MIBG) myocardial scintigraphy could predict the usefulness of beta-blocker therapy in patients with dilated cardiomyopathy (DCM). Tl-201 and MIBG were performed in 47 patients before beta-blocker therapy. Patients were classified into group A, if their cardiac function improved, and group B, whose function remained unchanged. Two types of extent score (ES) by Tl-201 were proposed to quantitate myocardial damage, mean-2SD (ES-2) and mean-3SD (ES-3). The ES difference between ES-2 and ES-3 was calculated, and according to ES and ES difference, DCM cases were classified into 3 groups: mild-defect type (mild-type), moderate-defect type (moderate-type) and severe-defect type (severe-type). The heart-to-mediastinum (H/M) MIBG uptake ratio was evaluated, and the percent washout ratio of myocardial MIBG was obtained from these data. Group A comprised 18 mild-type, 14 moderate-type and 1 severe-type cases, and group B comprised 5 mild-type, 4 moderate-type and 5 severe-type cases. A significant relation was observed between the defect type on Tl-201 and the response to beta-blocker therapy (p=0.0090). Both H/M MIBG uptake ratios and washout ratio were not significantly different in the 2 groups. Tl-201 may be useful for predicting the response to beta-blocker therapy in patients with DCM.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1346-9843
pubmed:author
pubmed:issnType
Print
pubmed:volume
66
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1139-43
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12499621-3-Iodobenzylguanidine, pubmed-meshheading:12499621-Adrenergic beta-Antagonists, pubmed-meshheading:12499621-Adult, pubmed-meshheading:12499621-Aged, pubmed-meshheading:12499621-Carbazoles, pubmed-meshheading:12499621-Cardiomyopathy, Dilated, pubmed-meshheading:12499621-Female, pubmed-meshheading:12499621-Forecasting, pubmed-meshheading:12499621-Heart, pubmed-meshheading:12499621-Hemodynamics, pubmed-meshheading:12499621-Humans, pubmed-meshheading:12499621-Male, pubmed-meshheading:12499621-Metoprolol, pubmed-meshheading:12499621-Middle Aged, pubmed-meshheading:12499621-Multivariate Analysis, pubmed-meshheading:12499621-Probability, pubmed-meshheading:12499621-Propanolamines, pubmed-meshheading:12499621-Radiopharmaceuticals, pubmed-meshheading:12499621-Thallium Radioisotopes, pubmed-meshheading:12499621-Treatment Outcome
pubmed:year
2002
pubmed:articleTitle
Use of thallium-201 myocardial scintigraphy for the prediction of the response to beta-blocker therapy in patients with dilated cardiomyopathy.
pubmed:affiliation
The Second Department of Internal Medicine, Ehime University School of Medicine, Japan. yujihara@m.ehime-u.ac.jp
pubmed:publicationType
Journal Article, Clinical Trial, Controlled Clinical Trial